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[系统性硬化症的当前治疗方法]

[Current treatment of systemic scleroderma].

作者信息

Hunzelmann Nicolas

机构信息

Klinik für Dermatologie und Venerologie, Uniklinik Köln, Kerpener Str. 62, 50937, Köln, Deutschland.

出版信息

Hautarzt. 2018 Nov;69(11):901-907. doi: 10.1007/s00105-018-4258-7.

DOI:10.1007/s00105-018-4258-7
PMID:30143809
Abstract

Systemic sclerosis (scleroderma) is a severe, chronic inflammatory connective tissue disease involving the skin, musculoskeletal system, and several internal organs. The heterogeneity of its presentation and course are a particular challenge for the treating physician. As therapeutic options have improved considerably during recent years, various working groups have published consensus recommendations for the treatment of SSc. The aim of this overview is to present major aspects of these recommendations and embed them in a concept of modern interdisciplinary care for this often still devastating disease.

摘要

系统性硬化症(硬皮病)是一种严重的慢性炎症性结缔组织病,累及皮肤、肌肉骨骼系统和多个内脏器官。其临床表现和病程的异质性给治疗医生带来了特殊挑战。近年来,随着治疗选择有了显著改善,多个工作组已发布了系统性硬化症治疗的共识性建议。本综述的目的是介绍这些建议的主要方面,并将其纳入针对这种往往仍具破坏性疾病的现代跨学科护理理念之中。

相似文献

1
[Current treatment of systemic scleroderma].[系统性硬化症的当前治疗方法]
Hautarzt. 2018 Nov;69(11):901-907. doi: 10.1007/s00105-018-4258-7.
2
One year in review 2020: systemic sclerosis.2020 年回顾:系统性硬化症。
Clin Exp Rheumatol. 2020 May-Jun;38 Suppl 125(3):3-17. Epub 2020 Jul 6.
3
One year in review 2019: systemic sclerosis.2019 年回顾:系统性硬化症。
Clin Exp Rheumatol. 2019 Jul-Aug;37 Suppl 119(4):3-14. Epub 2019 Oct 3.
4
Musculoskeletal Manifestations of Systemic Sclerosis.系统性硬化症的肌肉骨骼表现
Rheum Dis Clin North Am. 2015 Aug;41(3):507-18. doi: 10.1016/j.rdc.2015.04.011. Epub 2015 May 26.
5
Systemic sclerosis. A clinical overview.系统性硬化症。临床概述。
Adv Exp Med Biol. 1999;455:73-83.
6
Use of methotrexate in patients with scleroderma and mixed connective tissue disease.在硬皮病和混合性结缔组织病患者中使用甲氨蝶呤。
Clin Exp Rheumatol. 2010 Sep-Oct;28(5 Suppl 61):S160-3. Epub 2010 Oct 28.
7
[Systemic sclerosis--clinical course and treatment possibilities].[系统性硬化症——临床病程及治疗可能性]
Przegl Lek. 2005;62(12):1538-41.
8
Undifferentiated Connective Tissue Disease at risk for systemic sclerosis (SSc) (so far referred to as very early/early SSc or pre-SSc).未分化结缔组织病有发生系统性硬化症(SSc)的风险(至今被称为早期/极早期 SSc 或 pre-SSc)。
Autoimmun Rev. 2015 Mar;14(3):210-3. doi: 10.1016/j.autrev.2014.11.002. Epub 2014 Nov 18.
9
Systemic sclerosis and localized scleroderma--current concepts and novel targets for therapy.系统性硬化症和局限性硬皮病——当前概念及新的治疗靶点
Semin Immunopathol. 2016 Jan;38(1):87-95. doi: 10.1007/s00281-015-0551-z. Epub 2015 Nov 17.
10
Emerging targeted therapies in scleroderma lung and skin fibrosis.硬皮病肺和皮肤纤维化的新兴靶向治疗。
Best Pract Res Clin Rheumatol. 2011 Dec;25(6):843-58. doi: 10.1016/j.berh.2011.11.007.

引用本文的文献

1
[Systemic sclerosis].[系统性硬化症]
Dermatologie (Heidelb). 2024 Mar;75(3):181-196. doi: 10.1007/s00105-024-05298-8. Epub 2024 Feb 16.
2
Elastography as a possible useful method of assessment of skin involvement in systemic sclerosis.弹性成像作为评估系统性硬化症皮肤受累情况的一种可能有用的方法。
Postepy Dermatol Alergol. 2022 Aug;39(4):775-781. doi: 10.5114/ada.2021.109503. Epub 2021 Oct 1.
3
[The skin and rheumatism].[皮肤与风湿病]

本文引用的文献

1
Myeloablative Autologous Stem-Cell Transplantation for Severe Scleroderma.用于严重硬皮病的清髓性自体干细胞移植
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2
European Dermatology Forum S1-guideline on the diagnosis and treatment of sclerosing diseases of the skin, Part 1: localized scleroderma, systemic sclerosis and overlap syndromes.欧洲皮肤病论坛 S1 指南:皮肤硬化病的诊断和治疗,第 1 部分:局限性硬皮病、系统性硬皮病和重叠综合征。
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[Sclerosing skin diseases].[硬化性皮肤病]
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系统性硬化症的胃肠道表现
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4
Mycophenolate mofetil versus oral cyclophosphamide in scleroderma-related interstitial lung disease (SLS II): a randomised controlled, double-blind, parallel group trial.霉酚酸酯与口服环磷酰胺治疗硬皮病相关间质性肺病(SLS II):一项随机对照、双盲、平行组试验。
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BSR and BHPR guideline for the treatment of systemic sclerosis.英国风湿病学会和英国卫生与保健改善署系统性硬化症治疗指南
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Prediction of improvement in skin fibrosis in diffuse cutaneous systemic sclerosis: a EUSTAR analysis.弥漫性皮肤系统性硬化症皮肤纤维化改善情况的预测:一项欧洲抗风湿病联盟系统性硬化症注册研究(EUSTAR)分析
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Consensus best practice pathway of the UK Scleroderma Study Group: digital vasculopathy in systemic sclerosis.英国硬皮病研究组的共识最佳实践路径:系统性硬化症的数字血管病变。
Rheumatology (Oxford). 2015 Nov;54(11):2015-24. doi: 10.1093/rheumatology/kev201. Epub 2015 Jun 26.
8
Predictive value of serial high-resolution computed tomography analyses and concurrent lung function tests in systemic sclerosis.系统性硬化症中系列高分辨率 CT 分析和同期肺功能检测的预测价值。
Arthritis Rheumatol. 2015 May;67(8):2205-12. doi: 10.1002/art.39166.
9
Digital ulcers predict a worse disease course in patients with systemic sclerosis.数字溃疡预示系统性硬化症患者的疾病进程更差。
Ann Rheum Dis. 2016 Apr;75(4):681-6. doi: 10.1136/annrheumdis-2014-205897. Epub 2015 Feb 16.
10
Consensus best practice pathway of the UK scleroderma study group: gastrointestinal manifestations of systemic sclerosis.英国硬皮病研究小组的共识最佳实践路径:系统性硬化症的胃肠道表现
Clin Exp Rheumatol. 2014 Nov-Dec;32(6 Suppl 86):S-214-21. Epub 2014 Nov 5.